| NPI | 1760820054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2446) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007964-1) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2019-08-12 |